Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,987.50 / $2,252.50 / $5,879.02	Facility		$1,987.50	$2,252.50	$5,879.02
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,987.50 / $2,173.00 / $2,252.50	Professional		$1,987.50	$2,173.00	$2,252.50
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $10,064.70 / $12,905.50 / $16,297.50	Facility		$10,064.70	$12,905.50	$16,297.50
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $208.00 / $208.00 / $347.23	Professional		$208.00	$208.00	$347.23
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $2,120.00 / $2,120.00 / $4,134.00	Professional		$2,120.00	$2,120.00	$4,134.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,722.50 / $4,426.83 / $13,575.53	Facility		$1,722.50	$4,426.83	$13,575.53
Cigna Facility/Professional Professional Modifier Low / Median / High Price $3,227.75 / $3,227.75 / $3,867.21	Professional		$3,227.75	$3,227.75	$3,867.21
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $2,650.00 / $3,180.00 / $3,922.00	Professional		$2,650.00	$3,180.00	$3,922.00
Medcost Facility/Professional Facility Modifier Low / Median / High Price $1,987.50 / $2,650.00 / $4,505.00	Facility		$1,987.50	$2,650.00	$4,505.00
Medcost Facility/Professional Professional Modifier Low / Median / High Price $1,722.50 / $1,722.50 / $1,722.50	Professional		$1,722.50	$1,722.50	$1,722.50
Sentara Facility/Professional Facility Modifier Low / Median / High Price $1,855.00 / $2,940.97 / $4,919.99	Facility		$1,855.00	$2,940.97	$4,919.99
Sentara Facility/Professional Professional Modifier Low / Median / High Price $1,855.00 / $3,047.50 / $4,902.50	Professional		$1,855.00	$3,047.50	$4,902.50
United Facility/Professional Professional Modifier Low / Median / High Price $1,113.00 / $1,510.50 / $2,856.70	Professional		$1,113.00	$1,510.50	$2,856.70